Keith Alan Crittenden Sr., ARRT R (R)(CT)
Individual provider Active NPI Computed Tomography Radiologic Technologist · Standish, MI
NPI 1003196254 · NPPES record last updated Aug 19, 2011
Key facts
- NPI
- 1003196254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Computed Tomography Radiologic Technologist 2471C3401X
- License
- CRT-15680 (AZ)
- Practice address
- 2404 Husak Rd
Standish, MI 48658-9123 - Phone
- (989) 903-5142
- NPI assigned
- Aug 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRT-15680 | AZ | MD | Computed Tomography Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Computed Tomography Radiologic Technologist | 2471C3401X | CRT-15680 | AZ | Yes |
Addresses
Primary practice location
2404 Husak Rd
Standish, MI 48658-9123
Mailing address
2404 Husak Rd
Standish, MI 48658-9123
Phone (989) 903-5142
Other providers in Standish, MI
- Diane Lynn Cain
- Alison Christine Carrier
- Aimee Clark
- Cobalt Nature Center, PLLC
- Karen Collins
- Allen Robert Croutch
- Tricia Curtis
- Sharol Dantzer
- Chandler Mackenzie Davis
- Kendall Rene Dessenberger
All providers in Standish, MI · Computed Tomography Radiologic Technologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.